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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permittin — (1 C;"3`� <br /> Owner's Name 4 � l Owner Phone Number � ' �l �'�� <br /> Owner's Address 7 � . �Q.�^ • 1%C� ,�3��� a Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` b' ' S�. 2Q r h►us I'� LOT# � <br /> SUBDIVISION � , PARCEL ID# ( �- 2-� • �I ��I O�Z I�� �`jC)�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDJALT SIGN �� DEMOLISH <br /> INSTALL REPAIR � � �GC� <br /> PROPOSED USE � SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q [ <br /> DESCRIPTION OF WORK T{Q,1 � p� �S c �1Q(-- � �t nC �-� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C ] <br /> �BUILDING — <br /> ��, �� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q v— <br /> � ' � 1 <br /> �GAS � ROOFING Q SPECIALTY � OTHER � <br /> ' 6ti� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y!N <br /> Address License# C <br /> OTHER � COMPANY QTj n ��C • <br /> SIGNATURE REGISTERED Y/ N FEE CUR Y/N <br /> Address ��j �. � Z °`� �S� License# �� �3 c���� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constn�cGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pennit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """'PROPERTY SURVEY required for all NEW construcdon. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> '* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />